Most Relevant Information
Provider Data
NPI Number: | 1003369794 |
Provider Name: | REBECCA DAVIS PT |
Entity Type: | Individual |
Taxonomy Code: | 225100000X |
Specialty: | Physical Therapist |
License Number: | 2016027213 |
Most Important Dates
Enumeration Date: | 07/28/2016 |
Last Updated: | 10/14/2019 |
Provider Practice Location
1418 W SAINT JOSEPH ST STE 170
PERRYVILLE
MO
637751678
Practice Location Phone/Fax
Phone: | 5735138170 |
Fax: |
Provider Mailing Location
625 ENTERPRISE DR
OAK BROOK
IL
605238813
Provider Mailing Phone/Fax
Phone: | 6305766200 |
Fax: |